Uwitekaamaraso ya ogisijeni akivukaikoreshwa mugukurikirana urugero rwuzuye rwamaraso ya ogisijeni yumwana wavutse, ishobora kuyobora neza ubuzima busanzwe bwumwana.
Abana benshi bavutse bavukana imitima nzima hamwe na ogisijeni ihagije mumaraso yabo.Nyamara, abagera kuri 1 kuri 100 bavutse bafite uburwayi bw'umutima (CHD), naho 25% muri bo bazaba bafite uburwayi bukomeye bw'umutima (CCHD).
Abana bavutse bafite uburwayi bukomeye bwumutima bafite ogisijeni nkeya kandi akenshi bisaba kubagwa cyangwa ubundi buryo mumwaka wambere wubuzima.Rimwe na rimwe, gutabara byihutirwa birakenewe muminsi yambere cyangwa ibyumweru byubuzima bwuruhinja.Ingero zimwe zindwara zikomeye z'umutima zirimo coarctation ya aorta, guhinduranya imiyoboro minini, hypoplastique ibumoso yumutima, hamwe na tetralogi ya Fallot.
Ubwoko bumwe na bumwe bwa CCHD butera urugero ruke-rusanzwe rwa ogisijeni mu maraso kandi rushobora kumenyekana hamwe na oximeter yavutse na mbere yuko uruhinja rurwara, bityo bikamenyekana hakiri kare kandi bikavurwa neza, kandi birashoboka ko byanonosora imenyekanisha ryabo.
Ishuri ry’Abanyamerika ryita ku bana (AAP) rirasaba ko pulse oximetry mu bipimo byose byavutse kugirango tumenye CCHD.Kuva muri 2018, leta zose z’Amerika zashyize mu bikorwa politiki yo gusuzuma impinja.
Fetal ultrasound yumutima ntishobora kumenya ubwoko bwose bwinenge zumutima
Mugihe ibibazo byinshi byumutima byuruhinja bishobora gutahurwa na ultrasonografiya yibyara, kandi imiryango irashobora koherezwa hakiri kare umuganga wumutima wabana bato kugirango barusheho kwitabwaho, haracyari ibibazo bimwe na bimwe bya CHD bishobora kubura.
Ibimenyetso n'ibimenyetso bya CCHD, nk'ibara ry'ubururu cyangwa guhumeka neza nyuma yo kuvuka, bigaragara mu bana benshi bavutse basuzumwa kandi bakavurwa mbere yo kuva mu bitaro.Ariko, impinja zimwe zifite ubwoko bumwe bwa CCHD zigaragara neza kandi zikitwara mubisanzwe muminsi mike ishize zirarwara cyane murugo.
Nigute ushobora kuyungurura?
Gitoya yoroshye sensorkuzenguruka ukuboko kw'iburyo kuvuka n'ikirenge kimwe.Rukuruzi ihujwe na monitor mu minota igera kuri 5 kandi ipima urugero rwa ogisijeni mu maraso kimwe n'umutima.Gukurikirana amaraso ya ogisijeni akurikirana byihuse, byoroshye kandi ntibikomeretsa.Isuzuma rya pulse oximetry nyuma yamasaha 24 avutse rituma umutima wibihaha hamwe nibihaha bihuza neza nubuzima hanze ya nyina.Isuzuma rirangiye, umuganga cyangwa umuforomo bazasubiramo ibyasomwe n'ababyeyi bavutse.
Niba hari ibibazo bijyanye no gusuzuma ibizamini bisuzumwa, ibindi bizamini byo gusuzuma indwara z'umutima cyangwa izindi mpamvu zitera hypoxia birashobora gukenerwa mbere yuko uruhinja rusohoka mu bitaro.
Ibizamini bishobora kubamo igituza X-ray nigikorwa cyamaraso.Inzobere mu kuvura indwara z'umutima zizakora ultrasound yuzuye umutima wumwana wavutse, witwa echocardiogram.Ijwi rizasuzuma imiterere n'imikorere y'umutima wa neonatal muburyo burambuye.Niba urusaku rugaragaza impungenge, itsinda ryabo ryubuvuzi rizaganira ku ntambwe ikurikira hamwe n'ababyeyi.
Icyitonderwa: Nka hamwe nikizamini icyo ari cyo cyose cyo gusuzuma, rimwe na rimwe ikizamini cya pulse oximetry ntigishobora kuba ukuri.Ibintu byiza bishobora kubaho rimwe na rimwe, bivuze ko mugihe ecran ya oximetry yerekana ikibazo, ultrasound irashobora gutanga ibyiringiro byuko umutima wumwana ukivuka ari ibisanzwe.Kunanirwa gutsinda ikizamini cya pulse oximetry ntabwo bivuze ko hari inenge yumutima.Bashobora kugira izindi miterere zifite ogisijeni nkeya, nk'indwara cyangwa indwara y'ibihaha.Mu buryo nk'ubwo, bamwe mu bana bavutse bafite ubuzima bwiza bafite umutima n'ibihaha mu buryo bwo guhinduka nyuma yo kuvuka, bityo gusoma kwa pulse oximetry bishobora kuba bike.
Igihe cyo kohereza: Ugushyingo-02-2022